1. Expanding the genetic and phenotypic spectrum of ACTA2-related vasculopathies in a Dutch cohort
- Author
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Lisa M. van den Bersselaar, Judith M.A. Verhagen, Jos A. Bekkers, Marlies Kempers, Arjan C. Houweling, Marieke Baars, Eline Overwater, Yvonne Hilhorst-Hofstee, Daniela Q.C.M. Barge-Schaapveld, Eline Rompen, Ingrid P.C. Krapels, Eelco Dulfer, Marja W. Wessels, Bart L. Loeys, Hence J.M. Verhagen, Alessandra Maugeri, Jolien W. Roos-Hesselink, Hennie T. Brüggenwirth, Ingrid M.B.H. van de Laar, Human genetics, ACS - Atherosclerosis & ischemic syndromes, CCA - Cancer Treatment and quality of life, CCA - Cancer biology and immunology, MUMC+: DA KG Polikliniek (9), RS: Carim - H02 Cardiomyopathy, Clinical Genetics, Cardiothoracic Surgery, Erasmus MC other, Surgery, Cardiology, Human Genetics, ACS - Amsterdam Cardiovascular Sciences, Graduate School, ACS - Heart failure & arrhythmias, and ARD - Amsterdam Reproduction and Development
- Subjects
Adult ,Male ,THORACIC AORTIC-ANEURYSMS ,ACTA2 MUTATION ,Smooth muscle α-actin ,Aortic dissection ,AMERICAN-COLLEGE ,DISEASE ,Cohort Studies ,All institutes and research themes of the Radboud University Medical Center ,Thoracic aortic aneurysm ,Humans ,CARDIOVASCULAR-ANGIOGRAPHY ,INTERVENTIONAL-RADIOLOGY ,ASSOCIATION TASK-FORCE ,DISSECTION ,Smooth muscle alpha-actin ,Aorta ,Genetics (clinical) ,Neurodevelopmental disorders Donders Center for Medical Neuroscience [Radboudumc 7] ,INTERNATIONAL REGISTRY ,Aortic Aneurysm, Thoracic ,Middle Aged ,Actins ,PRACTICE GUIDELINES ,Mutation ,Human medicine - Abstract
Purpose: Heterozygous pathogenic/likely pathogenic (P/LP) variants in the ACTA2 gene confer a high risk for thoracic aortic aneurysms and aortic dissections. This retrospective multicenter study elucidates the clinical outcome of ACTA2-related vasculopathies. Methods: Index patients and relatives with a P/LP variant in ACTA2 were included. Data were collected through retrospective review of medical records using a standardized questionnaire. Results: A total of 49 individuals from 28 families participated in our study. In total, 20 different ACTA2 variants were detected. Aortic events occurred in 65% of the cases (78.6% index patients and 47.6% relatives). Male sex and hypertension emerged as significantly associated with aortic events. Of 20 individuals, 5 had an aortic diameter of
- Published
- 2022
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